Jimmy K. So, Od, Inc.
NPI 1154746345ActiveOrganization· Optometrist· Upland, CA
Optometrist in Upland, California, registered in NPPES in February 2014. The authorized official on file is Jimmy K. So, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154746345 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 24, 2014 |
| Last updated in NPPES | Feb 24, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 10554T | CA |
| Optometrist, Corneal and Contact Management | 152WC0802X | 10554T | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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